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With a lot of volume loss, especially when the skin elasticity has declined, surgical options tend to be most effective, Byrne said, noting that the most popular procedures include full face and neck lifts plus lower eyelid surgery to tackle the toll of rapid weight loss.
In some patients, glucose levels increase when niacin is started, but then return to baseline when a stable dose is reached
Torres F, Gonzalez-Candia A, Montt C, et al
Hormone therapy helps them feel like themselves again
SUs are as effective as GLP-1RAs in HbA 1C reduction and have fewer GI effects, but they can lead to weight gain and also a higher risk of hypoglycaemia, which this patient needs to avoid
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